Provider First Line Business Practice Location Address:
90 BERGEN STREET, SUITE 7700
Provider Second Line Business Practice Location Address:
CENTER FOR DENTAL AND ORAL HEALTH
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07101-2400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-972-2444
Provider Business Practice Location Address Fax Number:
972-972-2441
Provider Enumeration Date:
02/05/2007